Elkefi Safa
Columbia University Irving Medical Center, New York, NY 10032, USA.
Healthcare (Basel). 2024 Aug 8;12(16):1569. doi: 10.3390/healthcare12161569.
Access to online medical records (OMRs) can help enhance cancer patient engagement and improve their health outcomes. This study investigates disparities in OMR access among cancer survivors and examines the association between OMR access and health perceptions. We conducted a cross-sectional analysis using data from the National Cancer Institute's Health Information National Trends Survey (HINTS) from 2017 to 2022. The sample included 4713 cancer survivors. We employed regression analysis to assess the associations between the different factors. Overall, 18.78% of participants accessed their OMRs once or twice, while 36.69% accessed them three times or more. Gender minority groups (β = -0.0038, = 0.01), older adults (β = -0.1126, < 0.001), and racial minority groups (β = -0.059, < 0.001) were less likely to access their OMRs. Additionally, higher education levels (β = 0.274, < 0.001), insurance coverage (β = 0.365, < 0.001), and higher incomes (β = 0.115, < 0.001) were associated with increased OMR access. Positive health perceptions were significantly associated with OMR usage, including perceived good health (β = 0.148, < 0.001), quality of care (β = 0.15, = 0.026), and self-efficacy (β = 0.178, = 0.002). Disparities in OMR access among cancer survivors are influenced by socio-economic factors and health perceptions. Interventions targeting vulnerable groups, enhancing digital health literacy, and improving health perceptions could promote equitable OMR usage.
获取在线医疗记录（OMR）有助于提高癌症患者的参与度并改善其健康状况。本研究调查了癌症幸存者在获取OMR方面的差异，并检验了获取OMR与健康认知之间的关联。我们使用了美国国立癌症研究所2017年至2022年的健康信息全国趋势调查（HINTS）数据进行横断面分析。样本包括4713名癌症幸存者。我们采用回归分析来评估不同因素之间的关联。总体而言，18.78%的参与者访问过他们的OMR一两次，而36.69%的参与者访问过三次或更多次。性少数群体（β = -0.0038，P = 0.01）、老年人（β = -0.1126，P < 0.001）和少数种族群体（β = -0.059，P < 0.001）获取其OMR的可能性较小。此外，较高的教育水平（β = 0.274，P < 0.001）、保险覆盖（β = 0.365，P < 0.001）和较高的收入（β = 0.115，P < 0.001）与获取OMR的增加有关。积极的健康认知与OMR的使用显著相关，包括感知到的良好健康状况（β = 0.148，P < 0.001）、护理质量（β = 0.15，P = 0.026）和自我效能感（β = 0.178，P = 0.002）。癌症幸存者在获取OMR方面的差异受到社会经济因素和健康认知的影响。针对弱势群体的干预措施、提高数字健康素养以及改善健康认知可以促进OMR的公平使用。
